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肌肉骨骼疾病与工作风险因素

Musculoskeletal disorders and working risk factors.

作者信息

Tuček Milan, Vaněček Václav

机构信息

Institute of Hygiene and Epidemiology, First Faculty of Medicine, Charles University, Prague, Czech Republic.

Department of Orthopaedics, First Faculty of Medicine, Charles University and Military University Hospital, Prague, Czech Republic.

出版信息

Cent Eur J Public Health. 2020 Oct;28 Suppl:S06-S11. doi: 10.21101/cejph.a6183.

DOI:10.21101/cejph.a6183
PMID:33069174
Abstract

OBJECTIVES

The authors evaluate situation in the field of musculoskeletal disorders (MSDs) and working risk factors in the Czech Republic.

METHODS

Analysis of selected data from the Czech National Registry of Occupational Diseases during 2008-2018, description of criteria for recognition of occupational MSDs and risk factors associated with MSDs.

RESULTS

6,152 cases of 6 selected recognized occupational musculoskeletal diseases represent 47% of all recognized occupational diseases. The main proportion formed diseases of peripheral nerves in the extremities in terms of compressive neuropathies due to long-term and stereotyped overload, diseases of tendons, tendon capsules or insertions of muscles or joints in the extremities due to long-term and stereotyped overload and diseases of peripheral nerves in the upper extremities in terms of ischaemic and compressive neuropathies due to work with vibrating tools and devices. The authors discussed decreasing trend of the exposure time in three main diagnoses and association of the incidence of MSDs with the risky work related to overload of the musculoskeletal system of the upper extremities.

CONCLUSIONS

Important factors for the prevention of MSDs are directly related to the technical provision of production, the organization of work and the regime of work and rest, the length of working hours and the setting of production standards, and generally to the work related stress.

摘要

目的

作者评估捷克共和国肌肉骨骼疾病(MSD)领域的情况以及工作风险因素。

方法

分析2008 - 2018年捷克国家职业病登记处的选定数据,描述职业性肌肉骨骼疾病的识别标准以及与肌肉骨骼疾病相关的风险因素。

结果

6种选定的已确认职业性肌肉骨骼疾病的6152例病例占所有已确认职业病的47%。主要部分包括因长期和固定性负荷导致的四肢周围神经压迫性病变、因长期和固定性负荷导致的四肢肌腱、腱鞘或肌肉或关节附着点疾病,以及因使用振动工具和设备工作导致的上肢缺血性和压迫性周围神经疾病。作者讨论了三种主要诊断中暴露时间的下降趋势以及肌肉骨骼疾病发病率与上肢肌肉骨骼系统超负荷相关的危险工作之间的关联。

结论

预防肌肉骨骼疾病的重要因素直接关系到生产的技术条件、工作组织、工作和休息制度、工作时间长度以及生产标准的设定,一般还关系到与工作相关的压力。

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